Fascia, Healthy Adult
Conditions
Keywords
Physical therapy, Myofascial Release Therapy, Musculoskeletal Manipulations, Healthy Adult
Brief summary
Orthopedic Manual Therapy (OMT) employs specific manual techniques to assess and treat musculoskeletal dysfunctions. Among these, the Myofascial Induction Method (MIM) and its "crossed hands" technique are designed to restore fascial mobility and hydration through sustained mechanical forces. However, the lack of standardization (particularly regarding applied force) limits reproducibility and clinical consistency. The objective of this research is to compare the effects of three force magnitudes (2 kg, 5 kg, and 11 kg) applied during the crossed-hands technique on fascial stiffness, thickness, pain pressure threshold, and lumbopelvic mobility in healthy adults.
Detailed description
Introduction: Orthopedic Manual Therapy (OMT) employs specific manual techniques to assess and treat musculoskeletal dysfunctions. Among these, the Myofascial Induction Method (MIM) and its "crossed hands" technique are designed to restore fascial mobility and hydration through sustained mechanical forces. However, the lack of standardization (particularly regarding applied force) limits reproducibility and clinical consistency. Objective: To compare the effects of three force magnitudes (2 kg, 5 kg, and 11 kg) applied during the crossed-hands technique on fascial stiffness, thickness, pain pressure threshold, and lumbopelvic mobility in healthy adults. Methods: A quasi-experimental study was conducted with 30 healthy participants, divided into three groups (n = 10 each). Each received a single 5-minute session of the crossed-hands technique on the thoracolumbar fascia using forces of 2 kg (G3), 5 kg (G2), or 11 kg (G1). Fascial stiffness was measured with a Shore 00 durometer, thickness via ultrasound (Mindray TE7), pain pressure threshold (PPT) by algometry, and lumbopelvic mobility using Kinovea® motion analysis.
Interventions
Crossed hands technique. This approach is based on stimulating the myofascial system through the application of slow and gradual pressures. Its objective is to restore hydration and release deep restrictions within the soft tissue that cannot be reached with direct pressure or are difficult to identify during the initial evaluation process
Sponsors
Universidad de la Sabana
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Participants aged 18 years or older * Participants of both sexes * Apparently healthy participants
Exclusion criteria
* Individuals with cognitive disability that limited the ability to follow instructions * Participants with active pain greater than 5/10 at the time of the examination * Participants with obesity (BMI greater than 30) * Individuals with active vertigo * Participants taking muscle relaxants at the time of the measurement, * Participants who had received myofascial induction within 24 hours prior to the measurement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic mobility | This variable will be measured before the intervention and inmediatly after the intervention, all in the same day. | Subjects will be placed in a standing position and instructed to touch the floor with their hands while keeping their knees extended. The variables analyzed are anterior pelvic tilt and the translation angle of the lower limbs |
| Fascial stiffness | This variable will be measured before the intervention and inmediatly after the intervention, all in the same day. | Fascial stiffness is the mechanical property of fascial tissue that reflects its resistance to changes in shape or length when subjected to an external force. It is influenced by the composition and organization of the extracellular matrix, collagen fiber arrangement, tissue hydration, and neuromuscular factors. |
| pressure pain threshold (PPT) | This variable will be measured before the intervention and inmediatly after the intervention, all in the same day. | Pressure Pain Threshold (PPT) is defined as the minimum amount of pressure applied to a tissue that is perceived as painful by an individual. |
Countries
Colombia
Contacts
PRINCIPAL_INVESTIGATORAlejandra Sánchez, PT
Universidad de la Sabana
Outcome results
None listed